Robotic Radiosurgery Fee Revisions Phase In - Effective July 1, 2018 - Revised

This article has been revised and is being republished. "The remainder of the correction will occur on January 1, 2019." has been replaced with "The follow-on reduction scheduled for JE on January 1, 2019 will not occur and is postponed indefinitely."

Beginning July 1, 2018, to establish consistency between Noridian Part B Jurisdictions, fees for HCPCS G0339 and G0340 will be revised in two phases. The new fees will crosswalk to existing CPT codes for similar services.

  • HCPCS G0339 crosswalk to CPT 77372
  • HCPCS G0340 crosswalk to CPT 77373

Applicable GPCIs will be applied in each payment locale.

HCPCS Description
G0339 Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment
G0340 Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment

 

Effective July 1, 2018, these changes for Jurisdiction E will result in a 20% fee amount reduction. The follow-on reduction scheduled for JE on January 1, 2019 will not occur and is postponed indefinitely.

In the 2014 Final Rules for both the Medicare Physician Fee Schedule (MPFS) and the Hospital Outpatient Prospective Payment System (OPPS), CMS had commented that most services currently furnished with linac-based SRS technology, including services currently billed using the nonrobotic codes, incorporate some type of robotic feature; therefore, CMS proposed to eliminate the G-codes G0339 and G0340. The AMA Relative Value Update Committee agreed according to summarized comments in the Final Rule. Based on other comments, CMS retained the codes as C-Status for the MPFS but eliminated their use for OPPS.

 

Last Updated Oct 05, 2018